Dr Jacqueline Guajardo, PHD in Hartford, CT - Medicare Clinical Psychologist Provider

Dr Jacqueline Guajardo, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hartford, Connecticut. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Asylum Hill Family Medicine Center, Inc. and her current practice location is 99 Woodland St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 714-4212.

Dr Jacqueline Guajardo is licensed to practice in Connecticut (license number 002876) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437454717.

Contact Information

	Dr Jacqueline Guajardo, PHD
	99 Woodland St, Hartford, CT 06105-1207
	(860) 714-4212
	(860) 714-8080

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacqueline Guajardo
Gender	Female
Speciality	Clinical Psychologist
Experience	20 Years
Location	99 Woodland St, Hartford, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacqueline Guajardo graduated from medical school in 2004

NPI Data:

NPI Number: 1437454717
Provider Enumeration Date: 01/19/2011
Last Update Date: 07/08/2021

Medicare PECOS Information:

PECOS PAC ID: 9436172632
Enrollment ID: I20151104000985

Medical Identifiers

Medical identifiers for Dr Jacqueline Guajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437454717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	002876 (Connecticut)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	7187181 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Asylum Hill Family Medicine Center, Inc.	9032016134	21

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacqueline Guajardo allows following entities to bill medicare on her behalf.

Entity Name	Asylum Hill Family Medicine Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083660096 PECOS PAC ID: 9032016134 Enrollment ID: O20031217000249

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Guajardo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jacqueline Guajardo, PHD 99 Woodland St, Hartford, CT 06105-1207 Ph: (860) 714-4212	Dr Jacqueline Guajardo, PHD 99 Woodland St, Hartford, CT 06105-1207 Ph: (860) 714-4212

Reviews and Comments

Psychologist in Hartford, CT

Dr. Brian T Conover, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-293-6353 Fax: 860-293-6356
Ms. Omayra M. Carrion, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Woodland St, Hartford, CT 06105 Phone: 860-793-3373
Dr. Deborah Jean Stack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 682 Prospect Avenue, Hartford, CT 06105 Phone: 860-258-6065 Fax: 860-232-5077
Dr. Alexandra Giatrelis Munro, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 76 New Britain Ave, Hartford, CT 06106 Phone: 860-547-0970
Dr. Luke Hendren, Psychologist Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-545-7514
James Degiovanni, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 Phone: 860-545-7167 Fax: 860-545-7222
Dr. Allan L. Schiffer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 674 Prospect Ave, Hartford, CT 06105 Phone: 860-233-6228 Fax: 860-233-2371

Dr Jacqueline Guajardo, PHD - Medicare Psychologist in Hartford, CT